Health organisations forming the #protectournext movement have called for a 100% increase in tobacco tax ahead of the mid-term budget speech next week. A significant increase can make tobacco products less affordable, reducing consumption, improving public health, reducing the already heavy burden on the health system and adding to state revenue, say the National Council Against Smoking (NCAS), CANSA, the South African Medical Research Council (SAMRC) and the Heart and Stroke Foundation SA.
As the spotlight falls on breast cancer this October, it's time to give our teens even more reason not to light up. Research indicates that adolescent breast tissue is particularly vulnerable to the carcinogenic properties of tobacco. Considering the high incidence of breast cancer in South Africa, (lifetime risk of 1 in 26 women) and the fact that over 16% of young learners smoke, we must find ways to stop girls from becoming hooked on nicotine, says Lorraine Govender of the Cancer Association of South Africa (CANSA).
As South Africa’s Control of Tobacco and Electronic Delivery Systems Bill continues to await conclusion by the National Department of Health, a full two years after public consultation was completed, the City of Cape Town, our seat of parliament, is moving ahead with plans to become a smoke-free city. The City announced public buildings could soon become smoke-free as part of its participation in the Bloomberg Partnership for Healthy Cities, a global network of 70 cities committed to saving lives by preventing non-communicable diseases (NCDS) like cancer, diabetes, heart disease, stroke and chronic lung disease. Smoking is one of the risk factors for these diseases.
Tobacco harms young and old, men and women. Women and children, however, face unique challenges and may be more vulnerable to the hazards of tobacco use than men. Women and children exposed to tobacco are more likely than men to develop coronary heart disease over their lifetime, as well as chronic obstructive pulmonary diseases. Additionally, exposure to tobacco through smoking or passive smoking imposes female specific health concerns for women and children. Pregnant women and their unborn babies are also at risk to tobacco harms.
Protect Our Next
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Smoking is the single most preventable cause of death in the world. The World Health Organisation (WHO) says that in South Africa (SA) alone, smoking results in more than half of lung cancer deaths, 37% of chronic obstructive pulmonary disease deaths, and over 20% of cardiovascular deaths and tuberculosis (TB) deaths. Smoking-related TB deaths are especially prevalent in South Africa, due to a higher vulnerability of HIV-positive individuals to TB. Because it attacks the lungs, the novel coronavirus (COVID-19) could be an especially serious threat to those who smoke or vape.
The new Control of Tobacco and Electronic Delivery Systems Bill will make it easier for South Africans to choose smoke-free lives, regulate the danger of e-cigarettes and decrease the impact of second-hand smoke on the majority of the population, who are non-smokers. Why is taking time to implement? Tobacco industry profits are at the expense of addicted smokers, their families, and public health. Together, the National Council Against Smoking (NCAS), the Cancer Association of South Africa (CANSA) and the Heart and Stroke Foundation of South Africa are steadfast in campaigning for the new Bill to be passed. It’s time for our people and our government to show leadership in implementing global best practice to curb the onslaught of big tobacco.
Zanele Mthembu, Public Health Development and Policy Consultant
Savera Kalideen, Executive Director of the National Council Against Smoking
Sharon Nyatsanza, Project and Communications Manager, National Council Against Smoking
Lorraine Govender, National Advocacy Co-Ordinator, Cancer Association of South Africa (CANSA)
Professor Pamela Naidoo, CEO, The Heart and Stroke Foundation of South Africa
Dr Catherine Egbe, Specialist Scientist: Alcohol, Tobacco and other Drug Research Unit, South African Medical Research Council
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